 <form name="submit-rec" class="reciept-1" method="POST" action="addService.php">					
          <div class="">
                        <h1 style="width:520px">ارسال وتحميل المبلغ الى ايرادات الخدمات</h1>
                        <hr />
                       
                        <div class="bookings-edit-container">
                        <div class="bookings-edit-row">
                        <table class="edit-bookings-table">
                                <tr>
                                    <td>التاريخ</td>
                                    <td>:&nbsp;<input readonly required type="text" class="small-input date-1-miladi" name="date" id="" placeholder="" value="<?php echo date('Y-m-d'); ?>" /></td>
                                    
                                    <td>رقم السند</td>
                                    <td>:&nbsp;######</td>
                                </tr>
                                <tr>
                                    <td>الموافق</td>
                                    <td class="hijri-date-1">:&nbsp;</td>
                                    <td><input type="hidden" name="contract_id" class="contract_id small-input " value=""/>
                                    </td>
                                    <td><input type="hidden" name="hijri-date" id="hijri-date-1" value="1"/> </td>
                                </tr>
                                <tr>
                                    <td></td>
                                    <td></td>
                                </tr>
                                <tr>
                                    <td>المستفيد من الخدمة</td>
                                    <td>:&nbsp;<input type="text" class="auto-input" name="payer"  value="" /></td>
                                </tr>
                                <tr>
                                	<td>المستلم</td>
                                    <td>:&nbsp;<input type="text" class="auto-input" name="recipient" readonly value="<?php echo $_SESSION['login_user'] ?>" /></td>
                                </tr>
                                <tr>
                                	<td>المبلغ </td>
                                    <td>:&nbsp;<input  type="text" class="auto-input amout-paid-1" readonly name="amount" /></td>
                                    <td>طريقة الدفع</td>
                                    <td>:&nbsp;
                                    <select required class="small-select" name="type">
                                      <option value="0">نقدى</option>
                                      <option value="1">حوالة بنكية</option>
                                    </select>
                                    </td>
                                </tr>
                                <tr>
                                	<td>من أجل</td>
                                    
                                    <?php $query = query("SELECT service_name from services WHERE service_id = ?",$_GET['id']);?>
                                    <td>:&nbsp;<input required readonly type="text" class="service_name auto-input" name="reason" value="<?php echo $query[0]['service_name']; ?>" /></td>
                                    
                                </tr>
                                <tr>
                                	<td>ملاحظات </td>
                                    <td><p class="text-right"><textarea id="notes" readonly class="" style="" tabindex="19" cols="20" rows="2" name="notes" value="JQUERY"></textarea></p></td>
                                </tr>
                         </table>       
						
                        </div>
                        <div class="edit-button">إضافة</div>
                        <div class="mfp-close close-button" >x</div>
						<!--<input type="submit" value="goo"/> -->
                        </div>
                      </div> 
					   </form>